Individual provider Active NPI

Bradley Robert Peters, M.D.

  • Diagnostic Radiology Physician
  • Douglasville, GA
National Provider Identifier
1659374262
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
51890 Issued in GA
Practice address
6025 Professional Pkwy Ste 104
Douglasville, GA 30134-5610
Phone
(407) 412-6300
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 202673 NY
Diagnostic Radiology Physician 2085R0202X 26644 AL
Diagnostic Radiology Physician 2085R0202X MD21001176 DC
Diagnostic Radiology Physician 2085R0202X 51890 GA Primary

Addresses

Primary practice location

6025 Professional Pkwy Ste 104
Douglasville, GA 30134-5610

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Other practice location 1

200 Oakside Ln
Ste A
Canton, GA 30114-6416
Phone (770) 479-1945

Other practice location 2

2041 Georgia Ave NW # 1R84
Washington, DC 20060-6416
Phone (202) 865-3610

Other identifiers 1

IdentifierTypeStateIssuer
000964268LMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, NY, MD, DC5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20031209000003 GA Practitioner - Diagnostic Radiology 2567368939 Reassigns benefits to 6 organizations
I20111129000495 FL Practitioner - Diagnostic Radiology 2567368939 Reassigns benefits to 3 organizations
I20220310002158 NY Practitioner - Diagnostic Radiology 2567368939 Reassigns benefits to 2 organizations
I20230111002267 MD Practitioner - Diagnostic Radiology 2567368939 Reassigns benefits to 1 organization
I20230823002295 DC Practitioner - Diagnostic Radiology 2567368939 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of Ny Upstate Medical University, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Professional Services of Holy CrossGroup PAC ID 3779516992, 159 clinicians
Synergy Radiology LLCGroup PAC ID 2668727744, 73 clinicians
M and B Imaging, PCGroup PAC ID 1557623782, 69 clinicians
Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians
Lifebridge Community Physicians IncGroup PAC ID 3678751468, 183 clinicians
Pro Radiology LLCGroup PAC ID 1052696432, 112 clinicians
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

Roswell, GA 30075
Phone (904) 399-5550

Moultrie, GA 31768
Phone (856) 229-0696

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

1501 Milstead Rd NE
Suite 140
Conyers, GA 30012-3849
Phone (678) 374-7322

1640 Jesse Jewell Pkwy SE
Suite 2
Gainesville, GA 30501-2613
Phone (470) 252-3422

1900 Tebeau St
Waycross, GA 31501-6357
Phone (904) 399-5550

19731 Germantown Rd
Suite 102
Germantown, MD 20874-1222
Phone (301) 444-8700

2401 W Belvedere Ave
LBH Medical Group Teleradiology
Baltimore, MD 21215-5216
Phone (410) 601-9000

60 Peachtree Park Dr NE
Suite 100
Atlanta, GA 30309-1304
Phone (678) 278-8800

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26644ALMDDiagnostic Radiology Physician
MD21001176DCMDDiagnostic Radiology Physician
51890GAMDDiagnostic Radiology Physician
202673NYMDDiagnostic Radiology Physician

Practice roles (60 of 74)

OrganizationSpecialtyStatusNew patients
American Health Imaging of South Carolina LLC CurrentSince May 23, 2025 Accepting new patients
Upmctdi JV LLC CurrentSince Apr 22, 2026 Accepting new patients
TJH Medical Services, P.C. CurrentSince Feb 10, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jun 1, 2019 Accepting new patients
Nchmd, Inc CurrentSince Nov 1, 2015 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2025 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Dec 12, 2022 Accepting new patients
Professional Services of Holy Cross CurrentSince Jul 5, 2023 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Sep 30, 2025 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Jan 15, 2019 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 14, 2025 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Dec 27, 2022 Accepting new patients
Blue Stone JV LLP CurrentSince Nov 25, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Dec 1, 2025 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Nov 1, 2015 Accepting new patients
Howard University Faculty Practice Plan CurrentSince Jun 15, 2025 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Sep 12, 2023 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Nov 18, 2025 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 1, 2012 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jun 5, 2025 Accepting new patients
Jamaica Hospital CurrentSince Apr 1, 2022 Accepting new patients
Btdi JV LLP CurrentSince Oct 31, 2025 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince May 19, 2025 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince May 20, 2025 Accepting new patients
Professional Services of Holy Cross CurrentSince Jul 5, 2023 Accepting new patients
Btdi JV LLP CurrentSince Dec 1, 2025 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Nov 17, 2025 Accepting new patients
Btdi JV LLP CurrentSince Oct 31, 2025 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Nov 17, 2025 Accepting new patients
American Health Imaging of Dallas, LLC CurrentSince Nov 17, 2025 Accepting new patients
Btdi JV LLP CurrentSince Oct 31, 2025 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Gateway Diagnostic Imaging LLC CurrentSince Oct 31, 2025 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jun 5, 2025 Accepting new patients
Donalsonville Hospital Inc CurrentSince Jan 1, 2012 Accepting new patients
Howard University Diagnostic Radiology CurrentSince Apr 24, 2025 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Aug 1, 2020 Accepting new patients
Beaumont MRI Inc Diagnostic Radiology CurrentSince Oct 31, 2025 Accepting new patients
Lifebridge Community Physicians Inc Diagnostic Radiology CurrentSince Dec 12, 2022 Accepting new patients
Pro Radiology, LLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Jan 4, 2016 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 1, 2012 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Jul 2, 2025 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Blackwell Physicians, LLC Diagnostic Radiology CurrentSince Jul 2, 2025 Accepting new patients
Pro Radiology, LLC CurrentSince Apr 1, 2017 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Nov 17, 2025 Accepting new patients
Jamaica Hospital CurrentSince Apr 1, 2022 Accepting new patients
Btdi JV LLP CurrentSince Nov 1, 2025 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jan 1, 2024 Accepting new patients
Nchmd Inc Current Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Nov 18, 2025 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jun 5, 2025 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jan 30, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Nov 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Oct 31, 2025 Accepting new patients
Btdi JV LLP CurrentSince Oct 31, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Jun 1, 2026 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients

Locations (25 of 41)

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2041 Georgia Ave NW
#1R84
Washington, DC 20060
Phone (202) 865-3610

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

800 Goodlette Rd
Ste 230
Naples, FL 34102
Phone (941) 434-2347

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

200 Oakside Ln
Ste A
Canton, GA 30114
Phone (770) 479-1945

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

6025 Professional Pkwy
Ste 104
Douglasville, GA 30134
Phone (770) 444-9981

4374 Atlanta Hwy
Ste 125
Hiram, GA 30141
Phone (678) 941-1777

796 Church St NE
Ste 100
Marietta, GA 30060
Phone (678) 376-8908

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

2401 W Belvedere Ave
Baltimore, MD 21215

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

Networks

  • Healthfirst Medicare Network H3359
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: bpeters426262@direct.llu.edu

Organizations & group practices 75

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 75

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1659374262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 PROFESSIONAL PKWY STE 104",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345610",
            "telephone_number": "407-412-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Oakside Ln",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301146416",
            "country_code": "US",
            "telephone_number": "770-479-1945",
            "fax_number": "770-479-1948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2041 Georgia Ave NW # 1R84",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200606416",
            "country_code": "US",
            "telephone_number": "202-865-3610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "BRADLEY",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "202673",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "26644",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD21001176",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "51890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000964268L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.